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General NPI Number Information
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NPI Number | 1013059815
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Entity Type | Individual
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Provider Name | MS. ELAINE MARCIA PAISNER
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 105 VICTORY RD
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City | DORCHESTER
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State | MA
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Zip | 02122-3518
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Country | US
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Telephone | 617-371-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PLEASANT GARDEN RD
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City | CANTON
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State | MA
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Zip | 02021-2643
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Country | US
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Telephone | 781-828-7362
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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